Carrie Gaydos, ATC, L

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

58 Meadowview CT
Newington, CT 06111-4643

Phone

(860) 666-8019

NPI assigned

May 16, 2019

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 16, 2019.

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1669038519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 MEADOWVIEW CT",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061114643",
            "telephone_number": "860-666-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 MEADOWVIEW CT",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061114643",
            "telephone_number": "860-666-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYDOS",
        "first_name": "CARRIE",
        "credential": "ATC, L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINER",
            "identifier": "059402395",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanne Gardner, RN
• Asha Satpaul Garg, MD
• Sriram Garikapati, MD
• Maria Marta Garrido-Cauley
• Lynn P. Gavelek, RPH
• Geriatrics Inc Bel Air Manor
• Alisha Giannantonio
• Chris (Hristos) Konstadinos Giannos, D.C., M.S., C.C.S.P.
• Mayumi Okada Gianoli, PH.D.
• Andre Dexter Gibbs, LMFT

• All providers in Newington, CT
• Athletic Trainer in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.